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    Method and system for identifying a potential lead failure in an implantable medical device
    3.
    发明授权
    Method and system for identifying a potential lead failure in an implantable medical device 有权
    用于识别可植入医疗装置中的潜在导联故障的方法和系统

    公开(公告)号：US08391980B2

    公开(公告)日：2013-03-05

    申请号：US12498982

    申请日：2009-07-07

    申请人： Gene A. Bornzin ,  John W. Poore ,  Richard Williamson ,  Gabriel A. Mouchawar ,  Eric S. Fain

    发明人： Gene A. Bornzin ,  John W. Poore ,  Richard Williamson ,  Gabriel A. Mouchawar ,  Eric S. Fain

    IPC分类号： A61N1/00

    CPC分类号： A61N1/3706 ,  A61N1/37 ,  A61N1/371 ,  A61N2001/083 ,  G01R31/026

    摘要： A method for detecting potential failures by a lead of an implantable medical device is provided. The method includes sensing a first signal over a first channel between a first combination of electrodes on the lead and sensing a second signal from a second channel between a second combination of electrodes on the lead. The method determines whether at least one of the first and second signals is representative of a potential failure in the lead and identifies a failure and the electrode associated with the failure based on which of the first and second sensed signals is representative of the potential failure. Optionally, when the first and second sensed signals are both representative of the potential failure, the method further includes determining whether the first and second sensed signals are correlated with one another. When the first and second sensed signals are correlated, the method declares an electrode common to both of the first and second combinations to be associated with the failure.

    摘要翻译： 提供了一种用于检测可植入医疗装置的引线的潜在故障的方法。 该方法包括在引线上的第一电极组合之间的第一通道上感测第一信号，并且感测来自引线上的第二电极组合之间的第二通道的第二信号。 该方法基于第一和第二感测信号中的哪一个代表潜在故障，确定第一和第二信号中的至少一个是否代表引线中的潜在故障，并且识别故障和与故障相关联的电极。 可选地，当第一和第二感测信号都代表潜在故障时，该方法还包括确定第一和第二感测信号是否彼此相关。 当第一和第二感测信号相关时，该方法声明与故障相关联的第一和第二组合两者共同的电极。

    METHOD AND SYSTEM FOR IDENTIFYING A POTENTIAL LEAD FAILURE IN AN IMPLANTABLE MEDICAL DEVICE
    4.
    发明申请
    METHOD AND SYSTEM FOR IDENTIFYING A POTENTIAL LEAD FAILURE IN AN IMPLANTABLE MEDICAL DEVICE 有权
    用于识别可植入医疗器械中潜在的铅缺陷的方法和系统

    公开(公告)号：US20110009918A1

    公开(公告)日：2011-01-13

    申请号：US12498982

    申请日：2009-07-07

    申请人： Gene A. Bornzin ,  John W. Poore ,  Richard Williamson ,  Gabriel A. Mouchawar ,  Eric S. Fain

    发明人： Gene A. Bornzin ,  John W. Poore ,  Richard Williamson ,  Gabriel A. Mouchawar ,  Eric S. Fain

    IPC分类号： A61N1/37

    CPC分类号： A61N1/3706 ,  A61N1/37 ,  A61N1/371 ,  A61N2001/083 ,  G01R31/026

    摘要： A method for detecting potential failures by a lead of an implantable medical device is provided. The method includes sensing a first signal over a first channel between a first combination of electrodes on the lead and sensing a second signal from a second channel between a second combination of electrodes on the lead. The method determines whether at least one of the first and second signals is representative of a potential failure in the lead and identifies a failure and the electrode associated with the failure based on which of the first and second sensed signals is representative of the potential failure. Optionally, when the first and second sensed signals are both representative of the potential failure, the method further includes determining whether the first and second sensed signals are correlated with one another. When the first and second sensed signals are correlated, the method declares an electrode common to both of the first and second combinations to be associated with the failure.

    摘要翻译： 提供了一种用于检测可植入医疗装置的引线的潜在故障的方法。 该方法包括在引线上的第一电极组合之间的第一通道上感测第一信号，并且感测来自引线上的第二电极组合之间的第二通道的第二信号。 该方法基于第一和第二感测信号中的哪一个代表潜在故障，确定第一和第二信号中的至少一个是否代表引线中的潜在故障，并且识别故障和与故障相关联的电极。 可选地，当第一和第二感测信号都代表潜在故障时，该方法还包括确定第一和第二感测信号是否彼此相关。 当第一和第二感测信号相关时，该方法声明与故障相关联的第一和第二组合两者共同的电极。

    SYSTEM AND METHOD OF IMPLANTING A MEDICAL DEVICE
    5.
    发明申请
    SYSTEM AND METHOD OF IMPLANTING A MEDICAL DEVICE 审中-公开
    植入医疗装置的系统和方法

    公开(公告)号：US20140018818A1

    公开(公告)日：2014-01-16

    申请号：US13547791

    申请日：2012-07-12

    申请人： Zoltan Somogyi ,  Edward Karst ,  Gene A. Bornzin ,  John W. Poore ,  Richard Samade ,  Didier Theret

    发明人： Zoltan Somogyi ,  Edward Karst ,  Gene A. Bornzin ,  John W. Poore ,  Richard Samade ,  Didier Theret

    IPC分类号： A61N1/05

    CPC分类号： A61N1/372 ,  A61B17/3468 ,  A61N1/37205

    摘要： A system for implanting an implantable medical device (IMD) within a patient may include a main handle assembly having proximal and distal ends, a device-connection control handle connected to the proximal end of the main handle assembly, an introducer connected to the distal end of the main handle assembly, and a connection tool extending from the introducer. The connection tool may include a device-engaging member configured to change at least one of shape or orientation to selectively connect to and disconnect from the IMD. The device-connection control handle may be operatively connected to the device-engaging member and the device-connection control handle may be configured to manipulate the device-engaging member between connected and disconnected states by changing the at least one of the shape or orientation.

    摘要翻译： 用于在患者体内植入可植入医疗装置（IMD）的系统可以包括具有近端和远端的主手柄组件，连接到主手柄组件的近端的装置连接控制手柄，连接到远端的导引器 的主把手组件，以及从导引器延伸的连接工具。 连接工具可以包括被配置为改变形状或取向中的至少一个以选择性地连接到IMD并与IMD断开连接的装置接合构件。 设备连接控制手柄可以可操作地连接到装置接合构件，并且装置连接控制手柄可以被配置成通过改变形状或取向中的至少一个来在连接状态和断开状态之间操纵装置接合构件。

    LEADLESS INTRA-CARDIAC MEDICAL DEVICE WITH BUILT-IN TELEMETRY SYSTEM
    7.
    发明申请
    LEADLESS INTRA-CARDIAC MEDICAL DEVICE WITH BUILT-IN TELEMETRY SYSTEM 有权
    无内置医疗设备与内置远程系统

    公开(公告)号：US20130116529A1

    公开(公告)日：2013-05-09

    申请号：US13352147

    申请日：2012-01-17

    申请人： Xiaoyi Min ,  John W. Poore ,  Gene A. Bornzin

    发明人： Xiaoyi Min ,  John W. Poore ,  Gene A. Bornzin

    IPC分类号： A61B5/042 ,  A61N1/372

    CPC分类号： A61N1/37229 ,  A61B5/0006 ,  A61B5/042 ,  A61B5/686 ,  A61N1/362 ,  A61N1/368 ,  A61N1/3756 ,  A61N1/3787 ,  A61N1/3956 ,  A61N1/3968

    摘要： A leadless intra-cardiac medical device is configured to be implanted entirely within a heart of a patient. The device includes an intra-cardiac extension and a housing. The intra-cardiac extension includes a loop body having at least one loop segment retaining at least one coil group that is configured to one or both of receive and transmit radio frequency (RF) energy, wherein the loop body is configured to extend into a first chamber of the heart. The housing is in electrical communication within the loop body, and includes a transceiver, control logic and an energy source. The housing is configured to be securely attached to an interior wall portion of a second chamber of the heart, wherein the transceiver is configured to communicate with an external device through the RF energy.

    摘要翻译： 无引线心脏内心脏医疗设备被配置为完全植入患者的心脏内。 该装置包括心脏内延伸部和壳体。 心脏内延伸包括环体，其具有至少一个环段，保留至少一个线圈组，该线圈组配置为接收和发射射频（RF）能量中的一个或两个，其中该环体被配置为延伸到第一 心脏室。 壳体在环体内部电气通信，并且包括收发器，控制逻辑和能量源。 壳体构造成牢固地附接到心脏的第二腔室的内壁部分，其中收发器被配置为通过RF能量与外部设备通信。

    NEUROSTIMULATION DEVICE AND METHODS FOR CONTROLLING SAME
    8.
    发明申请
    NEUROSTIMULATION DEVICE AND METHODS FOR CONTROLLING SAME 审中-公开
    神经病学装置及其控制方法

    公开(公告)号：US20100331921A1

    公开(公告)日：2010-12-30

    申请号：US12491101

    申请日：2009-06-24

    申请人： Gene A. Bornzin ,  John W. Poore ,  Rupinder Bharmi

    发明人： Gene A. Bornzin ,  John W. Poore ,  Rupinder Bharmi

    IPC分类号： A61N1/08

    CPC分类号： A61N1/37 ,  A61N1/36071 ,  A61N1/36082 ,  A61N1/362

    摘要： A stimulation device that includes a housing, a neuro lead configured to be coupled to the housing and to be located proximate to a neurostimulation site of interest, a neuro pulse generator, in the housing, configured to generate multi-polar neuro modulation (NM) pulses for delivery by the lead to the neuromodulation site of interest and the neuro pulse generator generating the NM pulses utilizing a waveform, with the frequency components of the ICMD compatible waveform in a range of 0 to 225 Hz having substantially limited NM energy content to avoid interference with sensing operation of the ICMD. A method for managing a neuromodulation (NM) device to avoid interference with an implantable medical device (ICMD) providing an ICMD having electrodes configured based on ICMD sensing parameters that define an ICMD sensing frequency range, providing an NM device having NM electrodes to be located proximate a region of interest, the NM electrodes delivering NM pulses based on NM pulse parameters, setting at least one NM pulse parameter in a manner that limits an amount of NM energy content that propagates beyond an active area surrounding the site of interest within the ICMD sensing frequency range.

    摘要翻译： 一种刺激装置，其包括壳体，神经导线，被配置为耦合到所述壳体并且位于靠近感兴趣的神经刺激部位的神经脉冲发生器，被配置为产生多极神经调制（NM） 用于通过引线输送到感兴趣的神经调节部位的脉冲，以及使用波形产生NM脉冲的神经脉冲发生器，其中ICMD兼容波形的频率分量在0至225Hz的范围内具有基本上有限的NM能量含量以避免 干扰ICMD的感测操作。 一种用于管理神经调节（NM）装置以避免与可植入医疗装置（ICMD）的干涉的方法，所述可植入医疗装置（ICMD）提供具有基于定义ICMD感测频率范围的ICMD感测参数配置的电极的ICMD，提供具有待定位的NM电极的NM装置 靠近感兴趣的区域，NM电极基于NM脉冲参数传送NM脉冲，以限制NM能量含量的量超出ICMD内的感兴趣位置周围的有效区域的方式设置至少一个NM脉冲参数 感应频率范围。

    Methods and apparatus for overdrive pacing heart tissue using an implantable cardiac stimulation device
    9.
    发明授权
    Methods and apparatus for overdrive pacing heart tissue using an implantable cardiac stimulation device 有权

    公开(公告)号：US07043302B1

    公开(公告)日：2006-05-09

    申请号：US10323380

    申请日：2002-12-18

    申请人： Joseph J. Florio ,  Gene A. Bornzin ,  John W. Poore ,  Douglas T. Kurschinski

    发明人： Joseph J. Florio ,  Gene A. Bornzin ,  John W. Poore ,  Douglas T. Kurschinski

    IPC分类号： A61N1/08

    CPC分类号： A61N1/368

    摘要： Techniques are described for overdrive pacing the heart using a pacemaker wherein the overdrive pacing rate only increases when at least two intrinsic beats are detected within a determined search period. In one specific technique, an increase in the pacing rate occurs only if two P-waves are detected within X cardiac cycles. In another specific technique, the overdrive pacing rate is increased only if at least two P-waves are detected within a block of N cardiac cycles. In both techniques, the overdrive pacing rate is decreased if no increase has occurred in the last Z cardiac cycles. By increasing the overdrive pacing rate only in response to detection of at least two P-waves within a determined number of cardiac cycles, an excessively high overdrive pacing rate is avoided. Other techniques are described for adaptively adjusting overdrive pacing parameters so as to achieve a determined target degree of pacing of, for example, 95% paced beats. By adaptively adjusting overdrive parameters to maintain a target degree of pacing, the average overdrive pacing rate is minimized while still maintaining a high number of paced beats, thereby reducing the risk of a tachyarrhythmia occurring within the patient.